N |
Complication1 |
Procedure |
Complication2 |
Procedure |
Complication3 |
Procedure |
Complication4 |
Procedure |
1 |
Pseudo-aneurysmof distal anatomosis of the conduit |
RV aneurismectomy with reconstruction of the left PA and replacement of RV-PA conduit |
Compression of the left bronchus from the distal RV-PA conduit. |
Removal of the bronchial compression by a shorter RV-PA conduit and external bronchial stenting with incomplete rings of costal cartilage |
|
|
|
|
2 |
Esophagus and left bronchus fistula |
Esophageal direct suture and off-pump partial left bronchialresection withre-anastomosis |
Recurrent esophagus-left bronchus fistula |
Take down and reconstruction of confluence of PA,Directly sutures of esophagus,Re-anastomosed of the bronchus, Peribronchialomentalwrapping |
Respiratory distress syndrome |
VA-ECMO(9 days) |
|
|
3 |
Neo-left PA stenosis al level of contiguity with the left bronchus |
Extended reconstruction of the left PA |
Bilateral bronchial malacia |
Bilateral stenting of the main bronchi(dilated up to a caliber of 6 mm ) |
Left endobronchial stent ovalization, |
Elongation of neo-left PA with tubular prosthesis |
Ovalization of left endobronchial stent |
PA confluence reconstruction and RV-PA conduit replacement |
4 |
Diffuse bilateral bronchomalacia |
bilateral bronchial stenting |
Obstruction of SVC and stenosis of the left PA |
Extended left PA reconstruction, SVC reconstruction, andRV-PA conduit replacement |
|
|
|
|
PA: pulmonary arteries, RV: right ventricle, SVC: superior vena
cavae, VA-ECMO: veno-arterial membrane oxygentation